Provider Demographics
NPI:1699259101
Name:LYNCH, RACHEL (SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SKOLNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1131
Mailing Address - Country:US
Mailing Address - Phone:610-468-3580
Mailing Address - Fax:
Practice Address - Street 1:1200 BRAUN RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3106
Practice Address - Country:US
Practice Address - Phone:412-854-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA824863849Medicaid